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Paediatric day-case tonsillectomy: a three-year prospective audit spiral in a district hospital

  • Y Bajaj (a1), H Atkinson (a1), R Sagoo (a1), I Bhatti (a1) and C Newbegin (a1)...



Paediatric tonsillectomy is a common ENT operation. The use of day-case surgery is increasing, in order to improve efficiency in healthcare.


A prospective audit spiral was carried out from January 2006 to December 2008 for all children undergoing day-case tonsillectomy at Huddersfield Royal Infirmary.


There was a haemorrhage rate of 2.6 per cent over three years. The most common complication was nausea and vomiting, seen in 5.3 per cent of patients.


For a well selected group of children, day-case tonsillectomy in a district hospital setting is a safe and efficient alternative to an in-patient stay. A dedicated day-case team, good anaesthetic technique, adequate post-operative analgesia and on-site paediatric in-patient facilities are essential.


Corresponding author

Address for correspondence: Mr Y Bajaj, 2 Tall Trees, Leeds LS17 7WA, UK E-mail:


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Presented at the European Society of Paediatric Otolaryngology meeting, 6 October 2010, Pamplona, Greece



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